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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 115408047
Report Date: 03/11/2022
Date Signed: 03/11/2022 03:35:54 PM

Document Has Been Signed on 03/11/2022 03:35 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:OROPEZA, ANNA FAMILY CHILD CARE HOMEFACILITY NUMBER:
115408047
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/11/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Anna OropezaTIME COMPLETED:
03:44 PM
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A pre-licensing inspection was conducted today at 2:05pm by Licensing Program Analyst (LPA), Emilia Grisak. LPA met with applicant Anna Oropeza. The applicant is requesting a license for a capacity of 8. The facility will operate Monday-Friday, 5:30am to 5:30pm. The residence is a three bedroom four bath single story home. There are four adults and no minors currently living in the home.
The home and yard were toured, and the facility sketch was verified. The following areas will be off limits to children: kitchen, laundry room, garage, three bedrooms, three bathrooms, three closets and the backyard. These areas have been made inaccessible by means of door knob covers and baby gates. Poisons were locked in the garage. There were working smoke detectors and a carbon monoxide detector present and a fire extinguisher rated at least 2A10BC. The fireplace does not have a screen and applicant advised that it is not used. Applicant was advised that if fireplace will be used a screen will need to installed. The children will use the front yard as the outdoor play area. The front yard is not completely fenced and the applicant understands that constant supervision must be provided while children are outside. There is a pool in the backyard and applicant will submit a plan to CCL regarding how it will be fenced before being licensed.
LPA reviewed with applicant the LIC 311D, Forms/Records To Keep In Your Family Child Care Home, children’s forms/records, facility forms/records, and information to be posted.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Emilia Grisak
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: OROPEZA, ANNA FAMILY CHILD CARE HOME
FACILITY NUMBER: 115408047
VISIT DATE: 03/11/2022
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Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important license-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following items need to be completed prior to the granting of license:

1. The pool in the backyard needs to be fenced, applicant will submit a plan

Exit interview conducted and report was reviewed with the applicant Anna Oropeza.
SUPERVISORS NAME: Erin Virrueta
LICENSING EVALUATOR NAME: Emilia Grisak
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022
LIC809 (FAS) - (06/04)
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